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Lung Ventilation Scan

Massachusetts rates for HCPCS 78579

A nuclear medicine study of how air moves into and through the lungs. You breathe in a radioactive gas or a fine mist through a mask or mouthpiece while a camera records where it reaches, revealing parts of the lungs that are not being aired properly. It is often paired with a blood-flow study when a clot in the lungs is suspected.

Rates data updated October 2026.

How much does Lung Ventilation Scan cost?

$234

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $234 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$191 to $437
FacilityA hospital or hospital-owned outpatient department$234$170 to $501

How much rates vary

Facilitymedian $234 · 10th to 90th $31 to $776Professionalmedian $240 · 10th to 90th $49 to $1,148
$50$100$200$500$1K$2K$5Kfacility $234professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$154.88
Typical High
$173.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$17.38
Typical High
$22.39
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$134.90
Typical High
$151.36
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$616.60
Typical High
$851.14
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$407.38
Typical High
$1,148.15
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$47.86
Typical High
$141.25
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$354.81
Typical High
$1,000.00
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$588.84
Typical High
$812.83
BCBS Massachusetts
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$245.47
Typical High
$245.47
BCBS Massachusetts
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$38.02
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$676.08
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$281.84
Typical High
$776.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$32.36
Typical High
$93.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$204.17
Median
$251.19
Typical High
$691.83
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$204.17
Typical High
$275.42
Fallon Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$29.51
Median
$204.17
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$346.74
Typical High
$741.31
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$43.65
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$281.84
Typical High
$478.63
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$616.60
Typical High
$851.14
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$407.38
Typical High
$1,148.15
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$47.86
Typical High
$141.25
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$354.81
Typical High
$1,000.00
United
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,047.13
Typical High
$1,584.89
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$275.42
Typical High
$741.31
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$31.62
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$239.88
Typical High
$660.69
Well Sense
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$288.40
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$16.98
Median
$21.88
Typical High
$39.81
Well Sense
Setting
Facility
Modifier
TC · Technical part
Typical Low
$123.03
Median
$158.49
Typical High
$288.40
Well Sense
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$165.96
Typical High
$165.96
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$123.03
Median
$123.03
Typical High
$123.03

Where Massachusetts sits

The same service costs 4.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 27th of 51

$234

AK $676FL $151

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.